| NPI | 1568775484 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MN LP 5262) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: MN LP5262) |
| Enumeration Date | 2010-07-20 |
| Last Update Date | 2024-06-27 |